Stomach ulcers are open sores that develop in the lining of the stomach when the protective barrier is damaged, allowing stomach acid to irritate the underlying tissue. Common causes include infection with Helicobacter pylori (H. pylori) and prolonged use of certain painkillers, particularly non-steroidal anti-inflammatory drugs (NSAIDs). Symptoms may include upper abdominal pain, indigestion, nausea or bloating, although some ulcers may cause few noticeable symptoms until complications develop.
When symptoms persist or require further investigation, gastroscopy can provide a direct view of the upper digestive tract and help identify abnormalities such as stomach ulcers. A gastroscopy clinic Singapore can assess whether gastroscopy may be appropriate based on a patient’s symptoms and medical history. For those looking for a gastroscopy clinic in Singapore, understanding what the procedure involves can help when considering further evaluation.
What Is A Gastroscopy?
A gastroscopy is a procedure that allows a doctor to examine the upper digestive tract using a thin, flexible tube with a small camera attached to its tip. The gastroscope is gently passed through the mouth and into the oesophagus, stomach and first part of the small intestine, allowing the doctor to inspect the lining for abnormalities.
Depending on the circumstances, sedation may be given to help keep the patient comfortable during the procedure. If an unusual area is identified, small tissue samples can also be taken for further assessment. Because gastroscopy provides a direct view of the stomach lining, it can be useful when investigating persistent upper digestive symptoms or looking for conditions such as stomach ulcers.
Can Gastroscopy Detect Stomach Ulcers?
Yes, gastroscopy can detect stomach ulcers by allowing the doctor to directly examine the stomach lining. During the procedure, an ulcer may appear as a break, sore or open lesion in the lining of the stomach. The doctor can assess its location, size and appearance while also looking for other abnormalities that may be contributing to the patient’s symptoms.
If necessary, small tissue samples may be taken during the gastroscopy for further testing, including assessment for Helicobacter pylori infection or other changes in the stomach lining. This direct examination can help provide a clearer understanding of the cause of persistent upper digestive symptoms and guide appropriate follow-up.
Symptoms That May Lead To A Gastroscopy
Stomach ulcers can cause different symptoms, and their severity may vary between individuals. Some people experience recurring discomfort while others may only seek medical attention when symptoms become more noticeable. Persistent or unexplained upper digestive symptoms may warrant further assessment, including gastroscopy. These can include:
- Persistent upper abdominal pain or discomfort
- Indigestion or frequent bloating
- Heartburn or acid reflux
- Nausea or vomiting
- Difficulty swallowing
- Unexplained weight loss
- Black, tarry stools or vomiting blood, which may indicate gastrointestinal bleeding
Having these symptoms does not necessarily mean that a person has a stomach ulcer, as they can occur with other digestive conditions.
What Happens During A Gastroscopy For Suspected Ulcers?
Before a gastroscopy, patients are usually advised to fast for a specified period so that the stomach is empty during the procedure. The doctor will also review the patient’s medical history and medications and provide instructions on preparation. During the gastroscopy, a thin flexible tube with a camera is gently passed through the mouth and guided into the upper digestive tract. The doctor examines the oesophagus, stomach and first part of the small intestine, looking for ulcers, inflammation, bleeding or other abnormalities.
If a suspicious area is found, small tissue samples may be taken through the gastroscope for further examination. This is known as a biopsy and does not usually require a separate procedure. Sedation may be used to help the patient remain comfortable. After the gastroscopy, patients are monitored for a period before going home, particularly if sedation was given. The doctor can then discuss the findings and whether further tests or treatment may be required.
What Happens If A Stomach Ulcer Is Found?
If a stomach ulcer is detected during gastroscopy, treatment will depend on its likely cause and the findings from the examination. If Helicobacter pylori infection is identified or suspected, specific treatment may be prescribed to eliminate the infection and reduce the risk of the ulcer returning. When an ulcer is associated with prolonged use of certain painkillers, the doctor may review the medication and consider whether changes are appropriate.
Medicines that reduce stomach acid may also be used to support healing and relieve symptoms. In some cases, tissue samples taken during the gastroscopy may require further assessment before a treatment plan is finalised. Follow-up may also be recommended for certain stomach ulcers to check whether they have healed and to ensure there are no persistent abnormalities.
When Should You See A Gastroscopy Clinic Singapore?
Not every episode of stomach discomfort requires a gastroscopy, but persistent, recurrent or unexplained symptoms may warrant further assessment. A doctor may recommend gastroscopy when symptoms do not improve with initial treatment or when there are concerns about an underlying condition affecting the upper digestive tract. Symptoms such as ongoing upper abdominal pain, difficulty swallowing, unexplained weight loss or recurrent vomiting should be discussed with a doctor.
More urgent medical attention may be needed if there are signs of gastrointestinal bleeding, such as vomiting blood or passing black, tarry stools. Severe or sudden abdominal pain should also be assessed promptly. A gastroscopy clinic Singapore can evaluate the symptoms, medical history and risk factors before determining whether gastroscopy or other investigations may be appropriate.
Conclusion
Gastroscopy can be a useful investigation when persistent upper digestive symptoms raise concerns about a stomach ulcer or other abnormalities. By allowing the stomach lining to be examined directly, it can help identify ulcers and guide appropriate follow-up and treatment.
Persistent upper abdominal discomfort should not be ignored. You can arrange a consultation with our gastro doctor to discuss your symptoms and whether further assessment may be appropriate. Visit us at:
Gastrohealth Clinic @ Gleneagles – Dr Bhavesh Doshi | Gastroscopy | Colonoscopy | Health Screening | EUS and ERCP Singapore
6A Napier Rd, #05-35C Gleneagles Hospital Annexe Block, Singapore 258500